Provider Demographics
NPI:1760606651
Name:ZBIGNIEW ANIOL MD SC
Entity Type:Organization
Organization Name:ZBIGNIEW ANIOL MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ZBIGNIEW
Authorized Official - Middle Name:
Authorized Official - Last Name:ANIOL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-774-4000
Mailing Address - Street 1:7447 W TALCOTT AVE
Mailing Address - Street 2:SUITE NR 405
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-3745
Mailing Address - Country:US
Mailing Address - Phone:773-774-4000
Mailing Address - Fax:773-774-2129
Practice Address - Street 1:7447 W TALCOTT AVE
Practice Address - Street 2:SUITE NR 405
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3745
Practice Address - Country:US
Practice Address - Phone:773-774-4000
Practice Address - Fax:773-774-2129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036090656207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036090656Medicaid
IL208424Medicare ID - Type Unspecified
IL036090656Medicaid